脐尿管异常的CT诊断(附六例报告)  

CT diagnosis of urachal anomalies (a report of 6 cases)

作　　者：陈新晖[1] 张廷[1] 

机构地区：[1]河南省平顶山煤业集团公司总医院放射科,467000

出　　处：《中华放射学杂志》1998年第9期620-622,共3页Chinese Journal of Radiology

摘　　要：目的探讨脐尿管异常的CT表现，旨在提高对该病的认识和合理地选择检查方法。方法6例脐尿管异常患者均经CF扫描（平扫及增强）诊断和手术病理确诊。结果6例中1例脐尿管瘦伴感染，1例脐尿管移行细胞癌，2例脐尿管囊肿，1例脐尿管囊肿伴感染，1例脐尿管囊肿伴脐尿管腺癌。CF表现为下腹壁近中线的囊性占位；增强扫描，周边强化或结节状强化。囊壁不规整，结节状突起者是恶变的征象。结论CT检查能明确病变的部位、形态、范围、密度及与邻近结构的关系，对临床治疗有指导作用。CT是诊断该病有价值的检查方法。Purpose To diseuss CT findings of 6 cases of tirachal anomalies in ouler to enhance the knowledge of this diseases and choosing snitahle examination methorl. Methde All 6 cases of urachal anomalies were eded with CT seans(plain, enhanced) and proved by surgerv and pathology. Redts Among of 6 cases of urachal anomalies, urachal fistula asariated with infection 1 case, transitional cell careinoma 1 case, urahal cyst 2cases,urachal cyst associated with infection and adenocarcinoma 1 cases each. CT scans showed cystic mass of middle line in inferior abdominal wall, peripheral enhancement or nodular enhancement with intravenous injection of contrast medium.The authors comidered that irreghar cystic wall and nodular protrusion were signs of malignant chang. Conclusion CT scan can demonstrate the location, shape. extent and density of lesions as well as its relation with adjacent structures, thereby providing useful information to guide therapy. The authors were of the opinion that CT scan is a valuable methed for diagnosing this disease.

关 键 词：脐尿管异常 CT 诊断 

分 类 号：R816.5[医药卫生—放射医学]